Gor Ilana, Nadeem Gulrez, Bataev Hizir, Dorofeev Aleksey
Department of Surgical Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
Department of Basic Medical Sciences, Ajman University, Ajman, United Arab Emirates.
Int J Gen Med. 2021 Nov 23;14:8573-8581. doi: 10.2147/IJGM.S330724. eCollection 2021.
To study the incidence and structure of periodontal disease in elderly Moscow residents suffering from permanent coronary heart disease, as well as examine the oral cavity and tooth structure in patients with generalized periodontitis and coronary heart disease.
Stage 1 (studying the incidence and structure of periodontal diseases) enrolled 330 patients over 50 years old: Group 1 consisted of 180 patients (102 males and 78 females) with stable coronary heart disease; Group 2 consisted of 150 dental patients (90 males and 60 females) with periodontal pathology without associated coronary heart disease. Stage 2 enrolled 216 patients with generalized periodontitis (studying features of the generalized periodontitis course depending on the coronary heart disease presence): Group 1 consisted of 145 patients with coronary heart disease and generalized periodontitis (79 males and 66 females), Group 2 consisted of 71 patients with generalized periodontitis but without coronary heart disease (40 males and 31 females).
It has been established that 172 (95.6%) patients with coronary heart disease had periodontal disease with a predominance of generalized periodontitis in its structure, present in 145 (84.3%) people with coronary heart disease. A more severe clinical course distinguishes generalized periodontitis in patients with coronary heart disease than those without comorbid coronary heart disease. Moreover, it is characterized by a higher mean number of tooth loss (6.21±0.16 vs 4.83±0.12 teeth, p <0.05), more teeth defects (54.69±2.25% vs 21.15±1.27%, p <0.05), higher caries intensity level (11.07±0.32 vs 8.55±0.41, p < 0,05), clinical attachment loss (5.76±0.09 mm vs 4.85±0.10 mm, p < 0.05), and greater depth of periodontal pockets (4.80±0.17 mm vs 3.64±0.21 mm, p < 0.05).
Coronary heart disease is a favorable prerequisite for the development and progression of periodontal pathology.
研究患有永久性冠心病的莫斯科老年居民牙周疾病的发病率及结构，同时检查患有广泛性牙周炎和冠心病患者的口腔及牙齿结构。
第一阶段（研究牙周疾病的发病率及结构）纳入330名50岁以上患者：第1组由180名（102名男性和78名女性）患有稳定型冠心病的患者组成；第2组由150名患有牙周疾病但无相关冠心病的牙科患者（90名男性和60名女性）组成。第二阶段纳入216名患有广泛性牙周炎的患者（研究根据是否存在冠心病而定的广泛性牙周炎病程特征）：第1组由145名患有冠心病和广泛性牙周炎的患者（79名男性和66名女性）组成，第2组由71名患有广泛性牙周炎但无冠心病的患者（40名男性和31名女性）组成。
已确定172名（95.6%）冠心病患者患有牙周疾病，其结构中以广泛性牙周炎为主，145名（84.3%）冠心病患者存在广泛性牙周炎。与无合并冠心病的患者相比，冠心病患者的广泛性牙周炎临床病程更严重。此外，其特征为平均失牙数更多（6.21±0.16颗牙对4.83±0.12颗牙，p<0.05），牙齿缺损更多（54.69±2.25%对21.15±1.27%，p<0.05），龋病强度水平更高（11.07±0.32对8.55±0.41，p<0.05），临床附着丧失更多（5.76±0.09毫米对4.85±0.10毫米，p<0.05），牙周袋深度更深（4.80±0.17毫米对3.64±0.21毫米，p<0.05）。
冠心病是牙周病理发展和进展的有利前提。
